Individual
MRS. JACLYN WILLIAMS COSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8182 N WAYNE DR STE A, HAYDEN, ID 83835-4918
(208) 603-0055
Mailing address
8182 N WAYNE DR STE A, HAYDEN, ID 83835-4918
(208) 603-0055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4160
ID
Other
Enumeration date
09/04/2020
Last updated
06/14/2026
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